MARC

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022 |a 1472-6920 
024 7 |a 10.1186/s12909-025-06733-7  |2 doi 
035 |a 3165510291 
045 2 |b d20250101  |b d20251231 
084 |a 58506  |2 nlm 
100 1 |a Ejigu, Dawit Asmamaw 
245 1 |a Development, implementation, and evaluation of an innovative clinical trial operations training program for Africa (ClinOps) 
260 |b Springer Nature B.V.  |c 2025 
513 |a Journal Article 
520 3 |a BackgroundAfrica’s involvement in clinical trials remains very low. Although the crucial role of training initiatives in building clinical trial capacity in Africa has been documented, current efforts fall short as they lack alignment with local contexts. This study aimed to design, develop, implement, and evaluate an innovative clinical trial operations training program for Africa.MethodsWe developed ClinOps, a novel 10-week clinical trial operations training program for study coordinators in Africa to enhance their expertise in four fundamental areas: designing, conducting, managing, and reporting clinical trials. To streamline the learning process, we used cloud-based applications that minimize the need for software installations while maximizing student engagement. VoiceThread facilitated interactive content that could be accessed offline. Moodle, an open-source learning management system, offered a platform for sharing learning tools, mentorship, and rubric-driven competency assessments, including quizzes, forums, tutorials, and group assignments. We utilized Zoom for live tutorials and mentoring as required. Effectiveness of the program was evaluated through quantitative pre- and post-surveys, qualitative end-course evaluations, and a comprehensive monitoring and evaluation framework. The pre- and post-surveys measured changes in trainees’ confidence in clinical trial domains and leadership and coordination skills. End-course evaluations gathered feedback on the course content, organization, technology, and instructional methods. We used Wilcoxon rank test to analyze pre- and post-survey scores and thematic analysis to analyze the qualitative data.ResultsIn the initial cohort, 88 study coordinators from 19 countries participated, including 56 (64%) females, with 57 (65%) actively employed as study coordinators during the training, and 85 (97%) possessing prior experience in clinical trial roles. Among these, 71 (81%) successfully completed the course, with 69 (97%) also completing the post-course assessment. Post-training scores demonstrated substantial improvement compared to pre-training scores in each competency area, including in designing (pre-post training median score = 3.6 vs. 4.6, median difference = 1.0, 95% CI 0.8–1.1, p < 0.001), managing (pre-posttest median score = 3.4 vs. 4.2, median difference = 0.6, 95% CI 0.4–0.8, p < 0.001), conducting (pre-post training median score = 3.9 vs. 4.7, median difference = 0.9, 95% CI 0.6-1.0, p < 0.001), and reporting (pre-posttest median score = 3.0 vs. 4.5, median difference = 1.0, 95% CI 0.9–1.5, p < 0.001) clinical trials. The monitoring and evaluation data confirm the program’s adherence to training best practices, including alignment with local priorities, country ownership, pedagogic innovation, institutional capacity building, sustainability, and ongoing partnerships. The end-course evaluation reflects participants’ positive feedback on the program’s structure, content, relevance to their current roles, and overall delivery methods.ConclusionThe ClinOps program, designed by experts from academia and product development partners, enhanced participants’ clinical trial competencies. To effectively build clinical trials capacity on the continent, training programs should provide thorough competency development in designing, conducting, managing, and reporting trials. 
610 4 |a Addis Ababa University 
651 4 |a Africa 
651 4 |a Addis Ababa Ethiopia 
651 4 |a Ethiopia 
653 |a Collaboration 
653 |a Training 
653 |a Instructional design 
653 |a Learning management systems 
653 |a Online tutorials 
653 |a Distance learning 
653 |a Clinical trials 
653 |a Professionals 
653 |a Product development 
653 |a Tropical diseases 
653 |a Medical education 
653 |a Professional Training 
653 |a Supervision 
653 |a Competence 
653 |a Stakeholders 
653 |a Influence of Technology 
653 |a Learning Theories 
653 |a Educational Technology 
653 |a Appropriate Technology 
653 |a Management Systems 
653 |a Medical Evaluation 
653 |a Reference Materials 
653 |a Program Implementation 
653 |a Peer Teaching 
653 |a Reflective Teaching 
653 |a Teacher Education Curriculum 
653 |a Electronic Learning 
653 |a Social Environment 
653 |a Formative Evaluation 
653 |a Educational Environment 
653 |a Course Content 
653 |a Methods Courses 
653 |a Cognitive Development 
700 1 |a Abebaw Fekadu 
700 1 |a Whitty, Jeremy 
700 1 |a Manyazewal, Tsegahun 
700 1 |a Nebeta, Pamela 
700 1 |a Conradie, Almari 
700 1 |a Okech, Brenda 
700 1 |a Neequaye, Alice 
700 1 |a Whitty, Sinéad 
700 1 |a Lehrman, Jennifer 
700 1 |a Holt, Renee 
700 1 |a Birhane, Rahel 
700 1 |a Vahedi, Mahnaz 
700 1 |a Demarest, Helen 
700 1 |a Eyasu Makonnen 
773 0 |t BMC Medical Education  |g vol. 25 (2025), p. 1 
786 0 |d ProQuest  |t Healthcare Administration Database 
856 4 1 |3 Citation/Abstract  |u https://www.proquest.com/docview/3165510291/abstract/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text  |u https://www.proquest.com/docview/3165510291/fulltext/embedded/6A8EOT78XXH2IG52?source=fedsrch 
856 4 0 |3 Full Text - PDF  |u https://www.proquest.com/docview/3165510291/fulltextPDF/embedded/6A8EOT78XXH2IG52?source=fedsrch